Provider Demographics
NPI:1740407311
Name:CLINE, SARAH JEAN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEAN
Last Name:CLINE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11729 SPRINGFIELD PIKE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-2311
Mailing Address - Country:US
Mailing Address - Phone:513-671-5841
Mailing Address - Fax:513-671-5106
Practice Address - Street 1:4600 SMITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45212-2793
Practice Address - Country:US
Practice Address - Phone:513-531-1698
Practice Address - Fax:513-531-4645
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-009495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2443850Medicaid
OH415589OtherWELLCARE
OHP00459883OtherMEDICARE RAILROAD
OH000000514737OtherANTHEM
OH000000514737OtherANTHEM
OHCL4207011Medicare PIN